Personal Survey
Name: ____________________________________
M#____________________
Preferred Phone Number: _______________________________
Hello Communication Disorders (CDIS) major! We are delighted to have you in our program.
We are looking forward to getting to know you better and working together on your CDIS Course of
Study. By sharing something about your interests, skills, and goals you can help us in our effort to guide
you in your coursework and minor, as well as opportunities in the major and in the Middle Tennessee
community. Please answer the questions below and email this questionnaire to your advisor or bring to
your first advising meeting. Thanks very much!
Your CDIS advisors,
Bertha Clark
Rebecca Fischer
bclark@mtsu.edu
rfischer@mtsu.edu
Melinda Richards
mrichards@mtsu.edu
Elizabeth Smith
elsmith@mtsu.edu
1. Interests: (sports, music, travel, exploring, people, etc.) What do you enjoy doing during your free
time?
2. Talents and Skills: (What are you good at? Talking with people, writing, helping others problemsolve, car repair, organizing, balancing your checkbook, developing creative projects, etc.)
3. What seems easy for you? (a. Which courses ‘come easy’? b. How do you learn best? c. Do you
like to read, write, work in groups, work on class projects, etc.?
4. What parts of college are challenging for you? (time management, writing, essay questions, multiple
choice questions)
5. What are your current goals for your college experience? Do you think your goals are realistic at this
point in time? Why or why not? How can we help? Some goals might be: admission to graduate
school; working in the public schools upon graduation; gaining practical experience working with
children or adults; having an opportunity to serve as an officer in NSSLHA (National Student Speech
Language Hearing Association; improving GPA by re-taking classes; earning an A or B in next
semester’s classes; having an opportunity to do a research project with a faculty member)
6. How did you become interested in speech-language pathology or audiology?
7. At this point in time, what would you like to do with your degree in Communication Disorders? Is
there a special group of children or adults with which you would like to work? Or do you have a
general interest in the field?